Effectiveness of Exercise, Walking, and Education on Mental Health, Mobility and Quality of Life in Elderly Residents of Nursing Homes

NCT07236424 | Completed

• 1 other identifier: Studija V
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Clinical Trial This clinical trial aims to determine the impact of physiotherapy interventions on mental health, quality of life, and spinal mobility in older adults. The physiotherapy intervention will consist of group exercise therapy (3 times a week, 40 minutes, 4 weeks in total), walking activities (3 times a week, 30 minutes, 4 weeks in total), and education on optimal positions and movements in daily activities (one session lasting 60 minutes) The main questions it aims to answer are:

1. 1.Are group exercise therapy and walking optimal for reducing symptoms of depression and anxiety and improving quality of life in older adults placed in nursing homes in a short period of time
2. 2.Do physiotherapy interventions improve spinal mobility (anteflexion and extension)?

Conditions

Mental Health Care; Depression Anxiety Disorder; Quality of Life

Keywords

Mental Health; Depression; Anxiety; Quality of Life; Older Adults; Exercise Therapy; Physiotherapy; Walking

Outcome Measures

Primary Outcomes (1)

• Depression and Anxiety

  Hospital Anxiety and Depression Scale (0=best, 21=worst)

  From enrollment to the end of treatment at 4 weeks

Secondary Outcomes (2)

• Self-reported measure of health

  From enrollment to end of the treatment at 4 weeks

• Range of motion of extension and flexion in the lumbar spine

  From enrollment to the end of treatment at 4 weeks

Study Arms (2)

Intervention Group

EXPERIMENTAL

22 participants

Behavioral: Physiotherapy

Control group

NO INTERVENTION

20 participants

Interventions

Physiotherapy BEHAVIORAL

1. Exercise therapy - stretching and breathing exercises, stabilization exercises, mobility exercises, and balance and coordination exercises. The exercises will be performed in a standing and lying position, with the possibility of using aids - gymnastic ball and resistance bands. Implementation - three times a week for 40 minutes, for a total of four weeks. 2. Walking activity - three times a week for half an hour. 3. Education on optimal positions and movement in everyday life activities - at the beginning of the study in one session lasting 60 minutes.

Intervention Group

Eligibility Criteria

• Age: 65 Years+
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• both sexes, aged ≥ 65 years, with an optimal level of functional and cognitive abilities necessary to perform the exercises and understand the measurement scales.

You may not qualify if:

• significant cognitive and neurological impairments, functionally immobile persons, and persons who refuse to participate.

Sponsors & Collaborators

• University of Mostar: lead

Study Sites (1)

Nursing home "Ministro", Žepče

Žepče, 72230, Bosnia and Herzegovina

Location

Related Publications (7)

• Lok N, Lok S, Canbaz M. The effect of physical activity on depressive symptoms and quality of life among elderly nursing home residents: Randomized controlled trial. Arch Gerontol Geriatr. 2017 May-Jun;70:92-98. doi: 10.1016/j.archger.2017.01.008. Epub 2017 Jan 16.

  PMID: 28110207 BACKGROUND

• Underwood M, Lamb SE, Eldridge S, Sheehan B, Slowther AM, Spencer A, Thorogood M, Atherton N, Bremner SA, Devine A, Diaz-Ordaz K, Ellard DR, Potter R, Spanjers K, Taylor SJ. Exercise for depression in elderly residents of care homes: a cluster-randomised controlled trial. Lancet. 2013 Jul 6;382(9886):41-9. doi: 10.1016/S0140-6736(13)60649-2. Epub 2013 May 2.

  PMID: 23643112 BACKGROUND

• Noetel M, Sanders T, Gallardo-Gomez D, Taylor P, Del Pozo Cruz B, van den Hoek D, Smith JJ, Mahoney J, Spathis J, Moresi M, Pagano R, Pagano L, Vasconcellos R, Arnott H, Varley B, Parker P, Biddle S, Lonsdale C. Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ. 2024 Feb 14;384:e075847. doi: 10.1136/bmj-2023-075847.

  PMID: 38355154 BACKGROUND

• Singh B, Olds T, Curtis R, Dumuid D, Virgara R, Watson A, Szeto K, O'Connor E, Ferguson T, Eglitis E, Miatke A, Simpson CE, Maher C. Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. Br J Sports Med. 2023 Sep;57(18):1203-1209. doi: 10.1136/bjsports-2022-106195. Epub 2023 Feb 16.

  PMID: 36796860 BACKGROUND

• Liu-Ambrose T, Li LC. Physiotherapy for Healthy Aging. Physiother Can. 2022 Jan 1;74(1):1-3. doi: 10.3138/ptc-2021-0106-gee. Epub 2022 Jan 31. No abstract available.

  PMID: 35185240 BACKGROUND

• Rivadeneira MF, Mendieta MJ, Villavicencio J, Caicedo-Gallardo J, Buendia P. A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador. BMC Geriatr. 2021 Nov 1;21(1):615. doi: 10.1186/s12877-021-02548-5.

  PMID: 34719380 BACKGROUND

• Johnston MC, Crilly M, Black C, Prescott GJ, Mercer SW. Defining and measuring multimorbidity: a systematic review of systematic reviews. Eur J Public Health. 2019 Feb 1;29(1):182-189. doi: 10.1093/eurpub/cky098.

  PMID: 29878097 BACKGROUND

MeSH Terms

Conditions

Psychological Well-Being; Depression; Anxiety Disorders

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Behavioral Symptoms; Mental Disorders

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: November 15, 2025
• First Posted: November 19, 2025
• Study Start: November 20, 2025
• Primary Completion: January 5, 2026
• Study Completion: January 8, 2026
• Last Updated: January 12, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF

Locations

BO (1)